1 - ENT - Head and Neck - Salivary gland disease - Dry mouth, surgery Flashcards
1
Q
Iatrogenic causes of dry mouth
A
TCAs Antipsychotics BB's Antihistamines Radiotherapy (MMJ)
2
Q
2 other causes of dry mouth
A
dehydration
sjogrens syndrome
3
Q
4 complications of partial superficial parotidectomy
A
Facial nerve paresis/palsy
Frey’s syndrome
ear lobe numbness
fistula
4
Q
Partial superficial parotidectomy - describe Freys syndrome
A
sweating over parotid area on eating - rerouting of parasympath fibres - Rx: antiperspirants, botox injections
5
Q
Partial superficial parotidectomy - ear lobe numbness - describe
A
usually permanent - greater auricular nerve damage
6
Q
Partial superficial parotidectomy - describe fistula complication
A
saliva leakage from gland when eating - usually resolves over time
7
Q
2 complications of submandibular gland excision
A
haemorrhage
nerve damage - marginal mandibular leading to asymmetrical smile
